Comparative analysis of general anaesthesia with and without dexmedetomidine in emergence agitation

Emergence agitation (EA) is a common concern in maxillofacial surgeries under general anaesthesia. Therefore, it is of interest to evaluate the role of intraoperative dexmedetomidine infusion in its prevention. Ninety ASA I-II adult patients were randomized into two groups general anaesthesia alone (Group A) and general anaesthesia with dexmedetomidine (Group B). Dexmedetomidine significantly reduced the incidence and severity of EA (p <l0.001) improved sedation scores and provided better hemodynamic stability without increasing pain, nausea or vomiting. Bradycardia was more frequent in the dexmedetomidine group but also manageable making it a safe and effective adjuvant for enhancing recovery quality.